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Insurance, Partners and Outside Money -- Muhammad Yunus: Banker to the Poor

May 29, 2009 / 10:09

This episode discusses microfinance, health insurance, and the innovative healthcare services provided by Grameen Bank. Key topics include the introduction of health services, challenges in rural healthcare, and partnerships with tech companies.

The conversation features insights on how Grameen Bank has expanded its services beyond credit to include health insurance and clinics in villages. The speaker explains the establishment of Grameen Well-being and the creation of 51 clinics to provide essential health services.

Challenges such as retaining doctors in rural areas are addressed, along with plans to utilize mobile technology for healthcare diagnostics. The speaker emphasizes the importance of early detection and treatment through remote consultations.

Partnerships with companies like Intel and potential discussions with Google are highlighted, focusing on improving healthcare access and data management. The speaker outlines how these collaborations can enhance patient care and streamline services.

Finally, the episode touches on the financial sustainability of Grameen Bank, explaining how deposits from borrowers support lending and the bank's operations in rural communities.

TLDR

Grameen Bank expands microfinance to health services, facing challenges in rural healthcare and leveraging technology for better access.

Episode

10:09
00:00:01
[Music] one of the really interesting aspects of of grin's operations is the way you have
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been able to extend the concept of micro Finance Beyond just credit into areas such as health insurance uh I wonder if
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you could explain uh some of those activities uh and how they have evolved uh what some of your challenges have
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been uh we do not consider micro uh insurance or health insurance as outside the financial services so we take it as
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a part of our activity As A bank's activity we started with giving credit at the same time taking savings so it's
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a always together savings and Credit uh formed our basic tool and then we encourag them to go into other direction
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s about the health and other issues and gradually we introduce Insurance programs uh life insurance was our first
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insurance program that we did and the loan insurance that we did and then we introduced the health insurance program
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and we saw that we can give the health insurance facility but how do you ensure they get the Health Service because the
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existing Health Service is not a very reliable Health Service we started creating uh Health Services through a
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separate company we created called gramine colan or gramine well-being through that we started setting up uh
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clinics in The Villages uh with a professional doctor on the top of the clinic and then paramedics and the
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health workers with a pathological lab attached to it so that you don't have to
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go to the city for simple pathological testings and so on so everything is self-contained and today we run about 51
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such clinics and on an average they make about 93% of the cost they cover another
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7% we can cover easily if we could retain the doctors in this clinics that became a big problem doctors don't want
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to stay in the village the way uh the kind of clinics that we operate in The Villages uh so most of the time almost
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half or onethird of the doctors are missing so that's why our popularity in the area is not as
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high as it should have been so now we are trying to redesign it uh do it in a different way uh trying to set up uh
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program at the Village level what we call gramine Health Management centers where our Focus would be on
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prevention our Focus would be on the healthy people first and then to the sick people and and the sick people we
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say this is where we do the early detection and early treatment without relying on the doctors
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in the village so doctor will be in the city wherever they are we are trying to link the doctor and the patients through
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Information Technology mobile phone in Bangladesh is everywhere like many other countries now mobile phone is a common
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phenomenon even in the poor families you'll see mobile phones very cheap so what we doing and these phones are
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internet enabled phones it also carries the internet service so for Internet service you don't have to worry every
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single piece of uh space within Bangladesh uh can uh receive uh internet services through the mobile phone so we
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want to do the Diagnostics and plug it in into mobile phone transmit all the images and all the data to the
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specialist doctor in the city who can analyze it and tell you what the problem is and talk to the patient on the mobile
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phone and some intermediary young girl who can go go between the patient and the doctors to carry on all the services
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so this is the new idea that we are promoting and the health insurance is a very popular one I must say provided we
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can guarantee that they get the services uh we promised is there a plan to extend
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this further with Google uh we have been discussing with many partners uh already
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we have created a social business with Intel Corporation it's called gramine
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Intel company in Bangladesh and through that company we are bringing mobile phone services in the villages with
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Healthcare software included into it there are initial one that we are doing with that is a series of question that
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we place before the pregnant mothers and the questions are designed in such a way
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by evaluating the answers uh the doctors can tell you whether she has a r risky pregnancy see immediately you have a
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first choice uh that we have screened off one risky pregnancy uh then you can concentrate on that one and gradually
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we'll be moving into ultraso bring the ultraso in the family in the house uh to
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do the image of the baby inside the home and transmit it to the doctor and the doctor can tell conf reconfirm it that
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yes she has a problem and we can zoom in to that particular patient and so on so
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we'll be we'll be discussing with other companies like Google uh I'll be in this
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trip I'll be meeting the Google people to talk about it one of the idea that
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I'll be uh discussing with them is to how to capture all the patient data simultaneously as we meet the people
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talk to people all this comes in a way that you can put in a central server through Google uh uh and you have a
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global uh patient data available and you can analyze them you can you can find out the incidence of each diseases how
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the treatment is working which treatment is working how they're improving and so
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on lots of information can come out of that there are many ways you can do that very simple now the technology is
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available uh it can be almost Costless but at the same time extremely valuable information about the healthcare so we
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want to see excite Google and and others to get involved Google already has a lot
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of healthcare related programs but we are trying to see how to extend the service into the area that we face and
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uh collaborate with them by basing your model on getting funds from the borrowers uh rather than getting say
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investment money from International investors um does that give you enough money to to make as many loans offer as
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many services as you could or do you do you think that um outside money actually
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could play a role as long as it doesn't dilute the primary focus which is social
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good and not making money uh within coming Bank uh we are allowed to take deposits from everybody
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it's not related limited to the borrowers only it's just like a bank we can take uh anybody's deposits so that's
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open with inome in Bank uh each of our branch is required to make enough deposit mobilize enough
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deposit to carry out all the lending they do so that branches don't have to borrow from the head office don't have
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to borrow from another Branch so they are self sufficient with their money on top of it we encourage them to build up
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enough um uh cushion of safe reserves of the deposits because of the problem of uh disasters we have very frequent
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disasters at time of disaster you can't get your money back but you need to lend
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money more money than you did before to get people out of the problem they have face so we want to build up that cushion
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usually we recommend at least uh 30% 33% uh Reserve should be kept within that system uh today uh we have more than 30%
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Reserve or 37% Reser in our all our in the whole of gamine Bank some branches have more some branches have less but
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average of 37% uh we had no problem with the deposits we have enough deposits uh in
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that so we the question of borrowing from outside never occurred to us because we have enough money and I keep
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telling people that um literally no matter where we live we live in an ocean of money but the problem is the poor people
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cannot take a seep out of it that's the problem shortage of money is not there
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people have plenty of money they put in the bank uh people will very happy to the bank branch came near their home
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because vill just don't have branches of Banks Banks are all concentrated in the
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cities uh so if they have to put the money in the bank they have to go to the city and the town uh where the banks
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exist Bank BRS exist so gramine Bank Works in The Villages so it's a very convenient place people withdraw their
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money from the cities put it their near home because it's handy they can go anywhere anytime they go want they want
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pick up the money so we have enough of that money and we do not see any reason that it will ever dry out having said
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that uh what is the amount of deposit coming from the borrower themselves we lend out over $100 million a month
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through gramine bank today out of that money uh nearly half of that money comes from the borrowers own deposits so it's
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quite a substantial amount of money the borrowers to put in uh and that money keeps growing because everybody's uh
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putting additional deposits every week so it keeps growing and growing so they they have their own savings account at
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the same time other people can put in money there uh sometimes we see that maybe in certain brands we have too much
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money that uh what we should do keep that level of deposit without expanding the business we encourage them to expand
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the business rather than build up uh too much deposits [Music]

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Episode Highlights

  • Innovative Health Insurance Solutions
    Grameen Bank extends microfinance to health insurance, creating clinics in villages for better access.
    “We started setting up clinics in the villages.”
    @ 01m 33s
    May 29, 2009

Episode Quotes

  • We live in an ocean of money.
    Insurance, Partners and Outside Money -- Muhammad Yunus: Banker to the Poor

Key Moments

  • Health Insurance Expansion01:04
  • Village Clinics Established01:30
  • Doctor Retention Challenges02:04
  • Mobile Health Innovations02:55
  • Community Banking Success08:44

Tension Over Time

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